Organization
PERFECT HEALTH LLC
Active
Other names
Floyd's Family Pharmacy #1 (Ponchatoula)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN FLOYD TALLEY RPH (OWNER / COMPOUNDING PHARMACIST)
(985) 386-2232
Entity
Organization
Contact information
Practice address
1625 HIGHWAY 51 STE K, PONCHATOULA, LA 70454-6594
(985) 386-2232
(985) 386-2269
Mailing address
1625 HIGHWAY 51 STE K, PONCHATOULA, LA 70454-6594
(985) 386-2232
(985) 386-2269
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
006444-IR
LA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2201034
—
LA
Enumeration date
11/09/2011
Last updated
10/27/2022
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